Sloane Fabricius, LMFT
Individual provider Active NPI Marriage & Family Therapist · Agoura Hills, CA
NPI 1821115353 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1821115353
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MFC 40517 (CA)
- Practice address
- 30497 Canwood St
Suite 103
Agoura Hills, CA 91301-4330 - Phone
- (805) 558-3871
- Fax
- (818) 706-9070
- NPI assigned
- Mar 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 40517 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shine Medical of Ca PC | Past | Accepting new patients | |
| Rhonda Hauser LCSW, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC 40517 | CA | Yes |
Addresses
Primary practice location
30497 Canwood St
Suite 103
Agoura Hills, CA 91301-4330
Mailing address
4651 Calle Norte
Newbury Park, CA 91320-6812
Phone (805) 376-8132
Other providers in Agoura Hills, CA
- Esteem Dermatology Medical Group, Incorporated
- Evolve Growth Initiatives LLC
- Evolve Home Health
- Extended Life Home Health
- Ako Eyong
- Family Psychological Services Inc
- Youstina Farag
- Jamshid Veria Farahyar
- Gabrielle Rose Farrow
- Roya Fathi
All providers in Agoura Hills, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.